| Peter Bullock Md Pc | |
|
206 N Mustang Mall Ter Mustang OK 73064-5135 | |
| (405) 256-6000 | |
| (405) 256-6001 |
| Full Name | Peter Bullock Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 206 N Mustang Mall Ter, Mustang, Oklahoma |
| Authorized Official Name and Position | Peter Bullock (OWNER) |
| Authorized Official Contact | 4052566000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Bullock Md Pc 206 N Mustang Mall Ter Mustang OK 73064-5135 Ph: (405) 256-6000 | Peter Bullock Md Pc 206 N Mustang Mall Ter Mustang OK 73064-5135 Ph: (405) 256-6000 |
| NPI Number | 1225359805 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 06/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225359805 | NPI | - | NPPES |
| PENDING | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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